HomePain ManagementDihydrocodeine


Dihydrocodeine is used by individuals with moderate, severe or chronic (long-term) pain. It may be used to suppress coughing.

What is dihydrocodeine?

Dihydrocodeine is an opioid analgesic or painkiller, which is stronger than codeine but weaker than morphine. It acts by affecting how you perceive pain. This it does by imitating natural substances called endorphins, which block the transport of pain impulses along the nerves and to the brain. It can also be used to alleviate coughing.

Can I buy Dihydrocodeine online?

We can prescribe Dihydrocodeine online after you complete a quick online consultation. We require you to answer a few questions about your medical history. Complete the consultation form and a doctor will take a look and get back to you in around 30 minutes. If approved, you will have your medication the following day so long as you make the purchase prior to 4.00 pm.

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How to use dihydrocodeine

Dihydrocodeine is available as a tablet, a prolonged release tablet, an elixir, and an injection. Your doctor will decide the dose and formulation that you use. Generally, 1-2 tablets are taken 3 times a day and 1-2 prolonged release tablets are taken every 12 hours. One to two 5 ml spoonfuls of elixir is swallowed every 4-6 hours in adults while the dose is calculated from the body weight and symptoms of children (please note that we do not prescribe for children online). These oral preparations are all best taken with food or afterwards, and alcohol should be avoided. Only take a missed dose if it is not near to the time of the following dose and, if you exceed the normal dose, then ask for a doctor's opinion as you may experience side effects. When a patient cannot have oral dihydrocodeine, an injection of up to 50 mg in adults and dose dependent on the child's body weight can be given into a muscle or deep beneath the skin. The injection, however, is usually given by a healthcare professional in hospital.

Who can use dihydrocodeine?

Depending on the preparation, dihydrocodeine can be taken by adults and children. Adults can take all formulations, the dose may be reduced in people over 65 years of age, the elixir and injection only are recommended for children aged 4-12 years, and children younger than 4 years should not take this medicine.

If you have allergies or hypersensitivity to dihydrocodeine or the formulation ingredients do not accept this medicine. Tell your doctor if you are or there is any chance that you are pregnant, or you are breast-feeding. Dihydocodeine should also not be used if you have problems with breathing, severe headache, your gut, your heart, an adrenal gland tumour, or alcohol; have a head injury; or are getting stomach pains. You must also tell the prescribing doctor if you have asthma or other breathing problems, liver/kidney problems, low blood pressure, epilepsy (fits), an underactive thyroid gland or prostate problems.

This medicine must not be taken alongside other medicines such as with some monoamine oxidase inhibitor antidepressants (e.g., phenelzine and moclobemide), sleeping pills or anti-anxiety pills (e.g., diazepam, chloral, and barbiturates), and agents dampening the central nervous system or preventing/treating infections.

Dihydrocodeine Side Effects

This medicine can make you tolerant or addicted to it, meaning you need to have it more often or at a higher dose, and get side effects if you stop taking it. It is recommended to stop using dihydrocodeine and get medical help immediately if you have breathing problems, very itchy skin, or swelling in any part of your face, mouth or throat (these could indicate an allergic reaction). Other possible side effects include confusion, seeing/hearing unreal things, mood fluctuations, sickness and tummy pain, giddiness, drowsiness, feeling faint on standing, sweating, reduced body temperature, urination problems, and poor sex drive and performance.

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Please complete a free online consultation to commence the process of getting Dihydrocodeine prescribed.

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Pain management
Free Online Assessment Quick and Without Obligation